A Master Plan for Aging

Governor Newsom issued Executive Order N-14-19 in June 2019 calling for the creation of a Master Plan for Aging (MPA) that can serve as a blueprint for state government, local government, private sector, and philanthropy to promote healthy aging and prepare for coming demographic changes.

The executive order states: The California Health and Human Services Agency (CHHS) shall convene a Cabinet Workgroup for Aging to develop and issue the MPA by October 1,2020. The MPA shall include key data indicators, with 10-year targets, to support the implementation of the MPA. The MPA shall include recommendations to better coordinate programs and services to serve older adults, families, and caregivers

• A Stakeholder Advisory Committee and two subcommittees — Research and Long-Term Services and Supports (LTSS) — also shall be convened by CHHS. The LTSS Subcommittee shall submit a report to the Governor by March 2020.

Plan Framework

Vision: California for all across the lifespan

Mission: A person-centered, data-driven, ten-year California Master Plan for Aging by October 1, 2020, including a state plan, local blueprint, data dashboard, and best practice toolkit Values:

 • Choices — meaning access, quality, and autonomy

•Equity — addressing cumulative disparities due to age, disability, geography, income, race, ethnicity, immigration status, language, religion, sex, gender identity, sexual orientation, and family status

•Dignity and disruption of age-bias, able-ism, and discrimination

• Inclusion and accessibility for all older adults and people with disabilities

•Innovation and evidence-informed practice

•Partnerships among local, state, and federal governments, philanthropy, and private sectors

Goals for All Californians: 1. Services and Supports. We will live where we choose as we age and have the support we and our families need to do so.

2. Livable Communities and Purpose.

We will live in and be engaged in communities that are age-friendly, dementia-friendly, and disability-friendly.

3.Health and Well-Being. We will live in communities and have access to services and care that optimize health and quality of life.

4. Economic Security/Safety. We will have economic security and be safe from abuse, neglect, exploitation, natural disasters and emergencies throughout our lives.

3 The planning is underway

• The Cabinet Workgroup met in September and December.

• The Stakeholder Advisory Committee, named in August, met in September and November. The November meeting featured a presentation by San Diego County on their innovative “Roadmap for Aging” initiative. The group next meets in December via webinar, and in January where Los Angeles City and County’s “Purposeful Aging Initiative” will be highlighted

• The Long-Term Services and Supports Subcommittee, named and chartered in September and November, respectively, met in October and November. The October meeting focused on information and assistance networks, and the November meeting on a public long-term care benefit. The Subcommittee next will focus on all home- and community-based services, including In-Home Supportive Services.

A report is due from the Subcommittee to the Administration in March 2020. This Subcommittee will also advise on Goal 1: Services & Supports.

•The Research Subcommittee, named and chartered in October, met in October, and featured presentations on Data Dashboards from the Department of Public Health, as well as data sources, such as healthcare data and health professions shortage areas from the Office of Statewide Health Planning and Development.

The Subcommittee next meets in December and will focus on equity and long-term services and supports.

• New: A series of interactive “Webinar Wednesdays” will begin in January to allow groups and individuals statewide to engage and provide recommendations to help inform the MPA, specifically around Goal 2: Livable Communities & Purpose, Goal 3: Health & Well-being, and Goal 4: Economic Security & Safety

Notes from Redding Action Team

1) CARA Convention in Sacramento

John Bauman, MC advocate, Social Sec Works 

A) Going forward, seniors advocates should refer to Medicare and Social Security as “earned benefits” — not entitlements– when speaking to the public at large, as MC opponents like to refer to it. These issues are too important and easily cross party lines. Political identity shouldn’t matter re: MC and Soc Security.B) CARA’s agenda should drive the organization, not politics.C) Raising taxes to pay for MC for All is the wrong argument to make to the public. It’s about providing the best healthcare we can while lowering costs like outrageous drug prices.

Keynote address from Josh Kornbluth, societal ethicist. This guy has some valuable vids on YouTube that’s worth your time (Citizen Brain vid series). Really down to earth.

A) How to avoid dementia. Show empathy for others around you. Use your imagination. Your brain builds empathy. Empathy circuit (part of brain science). Embrace getting older: Aging vs. Ageism. People who get diagnosed with dementia are alone and disconnected from their daily environment.

Afternoon workshop: Affordable housing (Tenants Together org. and Housing Calif).

A) The motto should be: citizens lead the cause. Organizing = winning. We need power to influence politicians. Politicians don’t always like affordable housing. Housing Together has a statewide program There Ought to be a Law (7 regions).

Discrimination based on race and economic conditions is still a problem.

B) Most renters in state are “rent burdened” — rent exceeds 33% of their mo. income.

C) Tenant protections are key to preventing homelessness. AB 1482 attempts to strengthen (Just Cause stipulation) these for issues like no fault evictions and 60 day notices.Look out for bad faith business practices by landlords before stronger laws take effect in Jan. 2020. Use every tool. Mobilizing has its perks.

2nd Afternoon workshop: LTSS Allie Cannington, statewide advocate/organizer CFILCA)

How do we win on LTSS issues?Project 5-10-15 years. Access to health care system. We need to tell our own story. Need increased funding for LTSS. Pay in-home health service/support workers more $$$.

CARA’s convention ended with a rally at the capitol. CARA speakers called for closing corporate tax loopholes that would put billions back into state coffers to fund healthcare initiatives like Medicare for All, and schools. Chevron and Disney should pay their fair share in taxes.

2) Regular CARA meeting in Redding (Nov.)

Exec Dir. Jodie Reid wants DAC to become an affiliate member of CARA.